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Organization

EPIC HEALTHCARE AND PHYSICAL MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLOS VENEGAS M.D. (OWNER)
(214) 542-0321
Entity
Organization

Contact information

Practice address
1681 JUSTIN RD, SUITE 100, FLOWER MOUND, TX 75028-4323
(972) 420-0083
Mailing address
1681 JUSTIN RD, SUITE 100, FLOWER MOUND, TX 75028-4323

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
K0566
TX

Other

Enumeration date
01/28/2013
Last updated
01/28/2013
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